Please Print, complete and include this form with your return. Dyed, decorated and shoes purchased over 30 days ago are not returnable. * * * * ALL returns must be mailed to: * * * * Dye To Match C/O Bento's Shoe Box 1359 Plymouth Ave. Fall River, Ma.02721 Toll Free # 1-800-839-0667 Name: ______________________________________________ Address: ____________________________________________ ___________________________________________________ ___________________________________________________ Order#: ____________________________________________ Date of Purchase: ____________________________________ Reason for Return: ___________________________________________________ ___________________________________________________ ___________________________________________________